2027 ICD-10-CM Diagnosis Code H04.89Other disorders of lacrimal system
ICD-10-CM Codes›H00–H59›H00-H05›H04
- Billable — Valid for Submission
- Not Chronic
H04.89 is a billable ICD-10-CM diagnosis code for other disorders of lacrimal system. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 124 through 125. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Oculofacial plastics and orbital conditions.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Abnormal innervation syndrome
- Apposition of lower lacrimal punctum - finding
- Breakage of prosthesis
- Chromodacryorrhea
- Crocodile tears syndrome
- Cyst of lacrimal passages
- Defective tear drainage
- Discharge from lacrimal sac
- Divided lacrimal canaliculus
- Enlargement of lacrimal gland
- Enlargement of right lacrimal gland
- Finding of lacrimation
- Fluorescein tear drainage - finding
- Fluorescein tear drainage impaired
- Injury of lacrimal passage
- Lacrimal drainage - not patent
- Lacrimal drainage - patent only on punctal occlusion
- Lacrimal drainage - reduced patency
- Lacrimal patency - finding
- Lacrimal regurgitation
- Lacrimal sac access - finding
- Lacrimal sac not entered
- Lacrimal sac swollen
- Lower lacrimal punctum finding
- Mucoid lacrimal regurgitation
- Mucopurulent lacrimal regurgitation
- Obstruction of lacrimal drainage system
- Opening of lower lacrimal punctum - finding
- Opening of lower lacrimal punctum absent
- Opening of lower lacrimal punctum closed
- Opening of lower lacrimal punctum enlarged
- Opening of upper lacrimal punctum - finding
- Opening of upper lacrimal punctum absent
- Opening of upper lacrimal punctum closed
- Opening of upper lacrimal punctum enlarged
- Pooling of tears
- Poor apposition of lower lacrimal punctum
- Red tears
- Slit lacrimal canaliculus following intubation
- Stenosis and insufficiency of lacrimal passages
- Stenosis of lacrimal system
- Structural abnormality of lacrimal punctum
- Structural abnormality of lacrimal sac
- Swollen lacrimal sac - cystic
- Tear drainage - finding
- Tear drainage disorder
- Upper lacrimal punctum finding
- Watery lacrimal regurgitation
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H04.89: its own notes plus those printed at H04, block H00-H05, and Chapter 7. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury (trauma) of eye and orbit (S05.-)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
specified NEC H04.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Tears
You may only think of tears as those salty drops that fall from your eyes when you cry. Actually, your tears clean your eyes every time you blink. Tears also keep your eyes moist, which is important for your vision.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert H04.89 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H04.89Overview
What is the ICD-10 code for other disorders of lacrimal system?
The ICD-10-CM code for other disorders of lacrimal system is H04.89 (sometimes written as H0489). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H04.89 (Other disorders of lacrimal system) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other disorders of lacrimal system on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H04.89 group to?
When other disorders of lacrimal system is the principal diagnosis on an inpatient stay, it groups to MS-DRG 125, 124, with relative weights from 0.7699 to 1.2470 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of H04.89?
Under the General Equivalence Mappings, other disorders of lacrimal system converts to ICD-9-CM 375.89 (lacrimal syst dis NEC). The mapping is approximate, so confirm the match fits the documentation.
